Deep infiltrating endometriosis: Can magnetic resonance imaging anticipate the need for colorectal surgeon intervention?

Brusic, Ana; Esler, Stephen; Чурилов, Леонид; Chowdary, Prathima; Sleeman, Matthew A.; Maher, Peter; Yang, Natalie

doi:10.1016/j.ejrad.2019.108717

Cited by 6 publications

(1 citation statement)

References 41 publications

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“…In our center, we use rectal distension in patients showing an endometriotic lesion infiltrating the rectum in standard TSE T2w images to quantify the stenosis, which according to our experience is predictive of the need for bowel resection [ 25 ]. However, several alternative methods based on T2w images without rectal distension have been described to predict the need for bowel resection [ 44 , 45 ].…”

Section: Introductionmentioning

confidence: 99%

Magnetic resonance imaging for deep infiltrating endometriosis: current concepts, imaging technique and key findings

Lorusso

Scioscia²,

Rubini

et al. 2021

Insights Imaging

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Endometriosis is an estrogen-dependent chronic disease affecting about 10% of reproductive-age women with symptoms like pelvic pain and infertility. Pathologically, it is defined by the presence of endometrial tissue outside the uterine cavity responsible for a chronic inflammatory process. For decades the diagnosis of endometriosis was based on surgical exploration and biopsy of pelvic lesions. However, laparoscopy is not a risk-free procedure with possible false negative diagnosis due to an underestimate of retroperitoneal structures such as ureters and nerves. For these reasons nowadays, the diagnosis of endometriosis is based on a noninvasive approach where clinical history, response to therapy and imaging play a fundamental role. Trans-vaginal ultrasound and magnetic resonance imaging are suitable for recognizing most of endometriotic lesions; nevertheless, their accuracy is strictly determined by operators’ experience and imaging technique. This review paper aims to make radiologists aware of the diagnostic possibilities of pelvic MRI and familial with the MR acquisition protocols and image interpretation for women with endometriosis.

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Section: Introductionmentioning

confidence: 99%